The purpose of the present study was to quantify the asymmetry of the palpebral fissure (PF) and upper eyelid crease in normal Koreans. Photographs were taken of 273 males and 321 females aged from 20 to 49 years with a standard head position and eyes open. We investigated the presence of asymmetries of the PF inclination (PFI), PF height (PFH), PF width (PFW) and the upper eyelid crease. The criteria for asymmetry were 2° for PFI, 1 mm for PFH and 3 mm for PFW. The PFH was larger on the right side than on the left side, whereas the PFW was larger on the left than on the right. The prevalence of asymmetry of the PFI, PFH and PFW was 22.3%, 24.2% and 18.3% in males, and 35.8%, 26.5% and 18.7% in females, respectively. In most cases of PF asymmetry, the PFH was larger on the right and the PFW was larger on the left. A left-only upper eyelid crease was more common than a right-only upper eyelid crease in both sexes. The asymmetry of the PF was generally more common in females.
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- On the asymmetry of the human skull.Biometrika. 1931; 22: 324-341
- Asymmetry of the face.Anthropologie. 1969; 7: 31-34
- An assessment of asymmetry in the normal craniofacial complex.Angle Orthod. 1978; 48: 141-148
- Facial asymmetry in healthy North American Caucasians. An anthropometrical study.Angle Orthod. 1981; 51: 70-77
- Anthropometry of the head and face.2nd ed. Raven Press, New York1994 (p. 103–11)
- Distance from symmetry: a three-dimensional evaluation of facial asymmetry.J Oral Maxillofac Surg. 1994; 52: 1126-1132
- Asymmetric study on the Korean skull using bilateral measurements.Korean J Phys Anthropol. 2000; 13: 271-279
- Frequency and morphological change of double eyelid fold in relation to age.Hokkaido Igaku Zasshi. 1995; 70: 195-208
- Prevalence of palpebral fissure asymmetry in white persons.Am J Ophthalmol. 1995; 120: 518-522
- Metric and non-metric characteristics of Korean eyes using standardized photographs.Korean J Phys Anthropol. 2002; 15: 95-107
- Normal eyelid crease position in children.Ophthalmic Surg. 1994; 25: 42-47
- Westernization of the Asian eyelid.Arch Otolaryngol. 1985; 111: 149-153
Published online: August 10, 2006
Accepted: April 23, 2006
Received: January 25, 2006
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.